Which of the following is a characteristic of the manic stage of bipolar disorder?
Slow and sluggish movements
Feelings of extreme sadness and hopelessness
Increased energy and activity levels
Loss of appetite and weight loss
The Correct Answer is C
A.    During depressive episodes, individuals often experience psychomotor retardation, which can manifest as slow and sluggish movements. In contrast, the manic stage is marked by heightened energy and activity levels.
B.    Feelings of extreme sadness and hopelessness are characteristic of the depressive stage of bipolar disorder. During manic episodes, individuals typically experience elevated mood, which might be euphoric, irritable, or excessively optimistic, rather than feelings of sadness or hopelessness.
C.    This is a hallmark of the manic stage of bipolar disorder. During a manic episode, individuals often have significantly increased energy levels, engage in numerous activities, and may exhibit restlessness. 
This heightened activity can include impulsive or risky behaviors, excessive talking, and a reduced need for sleep.
D.    Loss of appetite and weight loss are more commonly seen during depressive episodes of bipolar disorder. During manic episodes, individuals might experience an increased appetite or engage in disinhibited eating behaviors, which contrasts with the decreased appetite often observed in depressive stages.
 
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increasing rest and sleep can be beneficial for overall well-being and can help alleviate some symptoms of mood disturbances but it is not sufficient as the initial step in addressing possible postpartum depression.
B. Using a postpartum depression-screening tool is a crucial step in assessing the client’s mental health status. This tool can help determine the severity of the symptoms and whether they meet the criteria for postpartum depression. It provides a structured way to evaluate the client’s symptoms and guide further intervention. This should be the first step in addressing the client’s reported feelings.
C. While antidepressant medication may be appropriate for treating postpartum depression if diagnosed, it is not the first step. Before prescribing medication, it is essential to conduct a thorough assessment using a screening tool to confirm the diagnosis and determine the severity of the condition.
D. Counseling can be a valuable part of treatment for postpartum depression, but it should follow an
initial assessment to confirm the presence of the condition. It is important to first evaluate the client’s symptoms using a screening tool to determine the appropriate level of intervention and to tailor the
counseling to the client’s specific needs.
Correct Answer is B
Explanation
A. Dementia is not typically caused by sudden environmental changes. Instead, it is a chronic condition that develops gradually over time due to neurodegenerative diseases, such as Alzheimer's disease, vascular dementia, or Lewy body dementia.
B. Dementia is characterized by a gradual decline in cognitive function, including memory, thinking, and reasoning skills. The progression of dementia is typically slow and leads to worsening symptoms over time. Currently, most types of dementia are considered irreversible, meaning that the damage to the brain is not reversible and the condition will continue to progress.
C. Dementia is a progressive condition that develops gradually, often over months or years. It is not characterized by a sudden onset. Sudden onset of cognitive symptoms is more indicative of delirium, which can be caused by acute medical conditions or other factors.
D. Dementia generally does not involve an altered level of consciousness. Instead, it primarily affects cognitive functions such as memory, reasoning, and orientation while consciousness remains clear.
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